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Atopic DermatitisPhase 2NCT04212169

Efficacy and Safety of MEDI3506 in Adult Subjects With Atopic Dermatitis

A Phase 2 study testing MEDI3506 in people with Atopic Dermatitis, run by AstraZeneca at 38 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a research study to determine the efficacy and safety of investigational drug MEDI3506 for the treatment of adult subjects with Atopic Dermatitis. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Atopic Dermatitis
What is being tested?
MEDI3506
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
148 participants
Where
38 sitesin 6 countries
Study dates
9 Dec 2019to 20 Sep 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 to 65 years inclusive at the time of consent.
  • Body mass index between 19.0 and 40.0 kg/m2 inclusive.
  • Documented history of chronic AD, for at least 1 year prior to screening Visit 1.
  • Meets at minimum 1 of the criteria, as follows:
  • History of inadequate response to topical medications for AD
  • Subject intolerance to treatment with topical medications for AD, or
Show all 10Show fewer
  • Topical medications are otherwise medically inadvisable
  • AD that affects ≥ 10% of the body surface area (BSA).
  • An EASI score of ≥ 12 at Visit 1 and ≥ 16 at Visit 3 (Day 1).
  • An IGA score of ≥ 3.

Who cannot join

  • Any active medical or psychiatric condition, or other reason, that would interfere with evaluation of the investigational product or interpretation of subject safety or study results.
  • Any other clinically relevant abnormal findings from physical examination (including vital signs and electrocardiogram [ECG]) or from safety laboratory analysis.
  • Active dermatologic conditions that might confound the diagnosis of AD or would interfere with the assessment of the skin.
  • Known active allergic or irritant contact dermatitis.

Trial locations and contacts

38 sites in 6 countries.

38 sites in 6 countries

United States13 sites
  • Research Site

    Baton Rouge, Louisiana, 70808

  • Research Site

    Birmingham, Alabama, 35209

  • Research Site

    Charlotte, North Carolina, 28277

  • Research Site

    Jacksonville, Florida, 32256

  • Research Site

    Memphis, Tennessee, 38119

  • Research Site

    Miami, Florida, 33180

  • Research Site

    Orlando, Florida, 32806

  • Research Site

    Providence, Rhode Island, 02903

  • Research Site

    San Antonio, Texas, 78213

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    Santa Monica, California, 90404

  • Research Site

    Spartanburg, South Carolina, 29303

  • Research Site

    Tulsa, Oklahoma, 74136

Other trials in United States

United Kingdom8 sites
  • Research Site

    Corby, NN18 9EZ

  • Research Site

    High Wycombe, HP11 2QW

  • Research Site

    Kenilworth, CV8 1JD

  • Research Site

    Northwood, HA6 2RN

  • Research Site

    Romford, RM1 3PJ

  • Research Site

    Shipley, BD18 3SA

  • Research Site

    Sidcup, DA14 6LT

  • Research Site

    Wokingham, RG40 1XS

Other trials in United Kingdom

Poland6 sites
  • Research Site

    Bialystok, 15-453

  • Research Site

    Kielce, 25-355

  • Research Site

    Lodz, 90-436

  • Research Site

    Poznan, 60-681

  • Research Site

    Skierniewice, 96-100

  • Research Site

    Wroclaw, 50-566

Other trials in Poland

Australia4 sites
  • Research Site

    Box Hill, 3128

  • Research Site

    Carlton, 3053

  • Research Site

    East Melbourne, 3002

  • Research Site

    Fremantle, 6160

Other trials in Australia

Germany4 sites
  • Research Site

    Berlin, 10117

  • Research Site

    Dresden, 01307

  • Research Site

    Hamburg, 20246

  • Research Site

    Mahlow, 15831

Other trials in Germany

Spain3 sites
  • Research Site

    Alcobendas, 28100

  • Research Site

    Leganés, 28915

  • Research Site

    Seville, 41003

Other trials in Spain

About this study

Official title: A Phase 2 Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy and Safety of MEDI3506 in Adult Subjects With Moderate-to-severe Atopic Dermatitis

This is a research study to determine the efficacy and safety of investigational drug MEDI3506 for the treatment of adult subjects with Atopic Dermatitis.

Read the detailed description

This is a research study to determine the efficacy and safety of investigational drug MEDI3506 for the treatment of adult subjects with Atopic Dermatitis.

Each participant will be assigned randomly to a treatment arm, which could be different strengths of the active treatment or a placebo which does not contain active treatment. Both Participants and investigators will be masked to the treatment assignment.

Approximately 152 participants will take part in this study. There is a 4 weeks screening period to determine eligibility. After eligibility is confirmed, participants will receive investigational drug or placebo during the 16 weeks treatment period. This is then followed by an 8-week follow-up period.

Being tested
MEDI3506, Placebo
Keywords
MEDI3506, Safety, Efficacy, Atopic Dermatitis, Eczema
Medical subject headings
Dermatitis, Atopic, Eczema

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI3506Drug

    multiple doses

  • PlaceboDrug

    multiple doses

Study groups in NCT04212169
Study groupRoleWhat they receive
MEDI3506 at dose level 1ExperimentalParticipant will receive multiple doses of MEDI3506 at dose level 1.
Receives: Drug: MEDI3506
MEDI3506 at dose level 2ExperimentalParticipant will receive multiple doses of MEDI3506 at dose level 2.
Receives: Drug: MEDI3506
MEDI3506 at dose level 3ExperimentalParticipant will receive multiple doses of MEDI3506 at dose level 3.
Receives: Drug: MEDI3506
PlaceboPlacebo comparatorParticipant will receive multiple doses of Placebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline to Week 16 in EASI Score

    The EASI evaluates 4 anatomic regions for severity and extent of key disease signs and focuses on the acute and chronic signs of inflammation (ie, erythema, edema, papulation, excoriation, and lichenification). The maximum score is 72, with higher values indicating more severe disease. Analysis was performed using mixed effect model for repeated measures and MCP-mod dose response model.

    Measured: Week 16

Secondary outcomes (27)
  1. Percentage of Subjects Achieving a 90% Reduction From Baseline in EASI Score at Week 16

    To further assess the effects of MEDI3506 compared with placebo on AD disease severity, in adult subjects with moderate-to-severe AD. Responders are subjects who achieved at least 90% reduction from baseline in EASI score.

    Measured: Week 16

  2. Percentage of Subjects Achieving a 75% Reduction From Baseline in EASI Score at Week 16

    To further assess the effects of MEDI3506 compared with placebo on AD disease severity, in adult subjects with moderate-to-severe AD. Responders are subjects who achieved at least 75% reduction from baseline in EASI score.

    Measured: Week 16

  3. Percentage of Subjects Achieving a 50% Reduction From Baseline in EASI Score at Week 16

    To further assess the effects of MEDI3506 compared with placebo on AD disease severity, in adult subjects with moderate-to-severe AD. Responders are subjects who achieved at least 50% reduction from baseline in EASI score.

    Measured: Week 16

  4. Percentage of Subjects Achieving an IGA of 0 (Clear) or 1 (Almost Clear) With at Least a 2 Grade Reduction From Baseline Score at Week 16

    The IGA allows investigators to assess overall AD disease severity at 1 given time point and consists of a 5-point severity scale from clear to very severe disease (0 = clear, 1 = almost clear, 2 = mild disease, 3 = moderate disease, and 4 = severe disease).

    Measured: Week 16

  5. Percentage of Subjects Achieving a Reduction of ≥ 3 From Baseline to Week 16 in Weekly Mean of Daily Peak Pruritus NRS

    Peak pruritus (ie, worst itch experienced in the previous 24 hours) assessed using an Numerical Rating Scale (NRS; 0 to 10) with 0 = no itch and 10 = worst imaginable itch. The daily assessments were summarised as a weekly mean.

    Measured: Week 16

  6. Change From Baseline to Week 16 in Weekly Mean of Daily Peak Pruritus NRS

    Peak pruritus (ie, worst itch experienced in the previous 24 hours) assessed using an Numerical Rating Scale (NRS; 0 to 10) with 0 = no itch and 10 = worst imaginable itch. The daily assessments were summarised as a weekly mean.

    Measured: Week 16

  7. Change From Baseline to Week 16 in Weekly Mean of Daily Peak Skin Pain NRS

    Skin pain (ie, worst skin pain experienced in the previous 24 hours) assessed using an NRS (0 to 10) with 0 = no pain and 10 = worst imaginable pain. The daily assessments were summarised as a weekly mean.

    Measured: Week 16

  8. SCORAD: Percent Change From Baseline to Week 16

    SCORAD is a clinical tool for assessing the severity of AD that evaluates the extent and intensity of AD lesions, in addition to subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease.

    Measured: Week 16

  9. Change From Baseline to Week 16 in Percentage Body Surface Area (BSA) Affected by AD

    Change in percentage of body surface area (BSA) affected by AD from baseline at week 16.

    Measured: Week 16

  10. Change From Baseline to Week 16 in DLQI

    The Dermatology Life Quality Index (DLQI) is a 10-item, patient- completed, health-related quality of life assessment of dermatology conditions with a recall period of 1 week. Each item is scored on a 4-point Likert scale with 0 = not at all ⁄not relevant, 1 = a little, 2 = a lot, and 3 = very much. The score from each item is summed, and the maximum total score is 30 while the minimum score is 0. Higher score means highest (adverse) effect on participant's life.

    Measured: Week 16

  11. Patient Description of Atopic Dermatitis or Eczema From Patient Global Impression of Severity at Week 16

    The Patient Global Impression of Severity (PGI-S) is a tool that allows patients to rate the severity of a condition over the past 7 days with response options of "No symptoms", "Very mild", "Mild", "Moderate", "Severe" and "Very severe".

    Measured: Week 16

  12. Change From Baseline to Week 16 in POEM

    The Patient-Oriented Eczema Measure (POEM) is a 7-item questionnaire for assessing disease symptoms including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping occurring in the past week. Each item is scored on a 5-point scale with 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = every day. The total POEM score is calculated by summing the score of each item resulting in a maximum of 28 and a minimum of 0, with higher values indicating severe disease

    Measured: Week 16

  13. Change From Baseline to Week 16 in 5-D Itch

    The 5-D Itch Scale is a questionnaire consisting of 5 items used specifically to measure the course of itch by asking for the degree, duration, disability and distribution of the pruritus within the last 2 weeks. The scores from each item are summed, with maximum score of 25 and minimum score of 5. Higher score represent worse outcome

    Measured: Week 16

  14. Occurrence of Adverse Events

    To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: up to 24 weeks

  15. Oral or Tympanic Temperature Taken During Vital Signs Assessment

    Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Baseline, week 16 and week 24

  16. Systolic Blood Pressure Taken During Vital Signs Assessment

    Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Baseline, week 16 and week 24

  17. Heart Rate Taken During Vital Signs Assessment

    Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Baseline, week 16 and week 24

  18. Respiratory Rate Collected During Vital Signs Assessment

    Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Baseline, week 16 and week 24

  19. Number of Participants With Abnormal Laboratory Assessments Relative to Normal Ranges for Haematology

    To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: up to 24 weeks

  20. Number of Participants With Abnormal Laboratory Assessments Relative to Normal Ranges for Serum Chemistry

    To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: up to 24 weeks

  21. Number of Participants With Abnormal Laboratory Assessments Relative to Normal Ranges for Urinalysis

    To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: up to 24 weeks

  22. Heart Rate (Beats/Min) Recorded on ECGs

    Collectively with other ECG parameters are used t assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Baseline, week 16 and week 24

  23. QT (Miliseconds) Recorded on ECGs

    Collectively with other ECG parameters are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Baseline, week 16 and week 24

  24. Number of Participants With Investigator's Overall ECGs Evaluations, e.g. Normal/Abnormal and Their Clinical Significance

    Collectively with other ECG parameters are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Week 16 and week 24

  25. Left Ventricular Ejection Fraction Measured by Echocardiogram

    To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD.

    Measured: Baseline and week 16

  26. Serum MEDI3506 Concentration Profiles

    To evaluate the PK of MEDI3506 in adult subjects with moderate-to-severe AD.

    Measured: Week 16 and week 24

  27. Occurence of Anti-drug Antibody During the Treatment and Follow-up Periods

    To evaluate the immunogenicity of MEDI3506 in adult subjects with moderate-to-severe AD.

    Measured: up to 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Dec 2019
  2. Study start9 Dec 2019
  3. Primary completion21 Jul 2022
  4. Study completion20 Sep 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomised to receive MEDI3506 dose 1, MEDI3506 Dose 2 or MEDI3506 dose 3 or placebo.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
148 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04212169
Sponsor's protocol ID
D9182C00001
Other IDs
2019-003304-12, 2019
Status last verified
Aug 2023
First submitted
4 Nov 2019
Last updated
28 Sep 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI3506 in people with Atopic Dermatitis, run by AstraZeneca at 38 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, United Kingdom, Poland, Australia, Germany and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Sep 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline to Week 16 in EASI Score (time frame: Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2023.

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